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Individual

C RICHARD STASNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6550 FANNIN ST, STE 2025, HOUSTON, TX 77030-2717
(713) 796-2181
(713) 796-2349
Mailing address
6550 FANNIN ST, STE 2025, HOUSTON, TX 77030-2717
(713) 796-2181
(713) 796-2349

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
D6183
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
B158353
MEDICARE ID NUMBER
TX
Enumeration date
09/13/2005
Last updated
10/24/2012
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